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Endoskeletal Above-Knee, Flexible Protective Cover

Tennessee rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Rates data updated July 2026.

How much does Endoskeletal Above-Knee, Flexible Protective Cover cost?

$550

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $851 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$550$490 to $776
FacilityA hospital or hospital-owned outpatient department$851$741 to $6,607

How much rates vary

Facilitymedian $851 · 10th to 90th $479 to $6,607Professionalmedian $550 · 10th to 90th $479 to $955
$500$1K$2K$5K$10Kfacility $851professional $550

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$537.03
Typical High
$954.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$6,760.83
Median
$9,120.11
Typical High
$9,120.11
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$851.14
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$851.14

Where Tennessee sits

The same service costs 2.9 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Tennessee· 49th of 51

$550

HI $1,413NE $490

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.